Tuesday, May 11, 2010

What To Do About Those Old "Aches & Pains" That Keep Coming Back To Haunt

Graston Technique, FAKTR-PM, SASTM, AYSTM I’m sure you remember falling off your bike as a kid. Maybe a little accident on the monkey bars or on the ball field. A bump on the head, a bruised knee, a pulled groin or strained hamstring or maybe a sprained ankle or a sore shoulder from a multitude of childhood horsing & playing around. You went home, mom or dad put on a cold compress and the next day or the day after you’re up and running around again like nothing ever happened.

Ahhhh; but something did happen. Your little bump, bruise, strain or sprain started a little process. Yes it’s your body’s natural healing process but its how we ignore the process that presents the problem. Mom or dad puts an ice pack (if you were lucky) or a heating pad on it for a day or two and then off to the races you go. It doesn’t really matter if you go to a doctor or therapist for treatment of your injury, it will heal on its own regardless. But that doesn’t mean it will heel properly or optimally. That’s where we (the doctors, trainers & therapists) come in.

So, you have some contusion (deep muscle bruise) or strained a muscle that now needs to be fixed. The healing process starts by removing the damaged tissues then when that’s done, it starts bring in the new materials to start rebuilding. Inflammation happens, hopefully it subsides on its own, typically it doesn’t. So you put on some ice, take some over the counter pain killer and you feel fine again. Trust me on this, you’re not fine. You can ignore the pain, the slight change in function and get on with your little life. But the healing process ensues. Eventually, the damaged tissue heals with scar tissue and you’re all patched up. Now, here in lies the problem.

Scar tissue isn’t as good as the original tissue. Just look at any old cut on your arms or hand, or that spot where you skinned your knees as a kid and you can easily see it. Scar tissue has a haphazard matrix of fibers whereas the original tissues matrix is organized. It’s organized based on the specific function of the tissue for both strength and resiliency. Have you ever seen a car that had bad body work done on it? It’s just like that. Most scar tissues (adhesions) are simply a bad “patch job”. If you’re lucky enough to realize what’s going on in the beginning, applying ice compresses, doing light stretching and very light resistance exercise can help scar tissue heal optimally. If you just brushed it off, took a few over the counter pain killers and ignored it, (like most of us); as you get to your mid 30s or 40s all of a sudden you start getting these aches and pain out of nowhere. Then you are forced to deal with it as that once childhood bump, bruise or strain, comes back to Haunt You.

The problem lies in the transition area between the scar tissue and “normal” tissue. It’s a zone of weakness that is prone to re-injury. It’s not that neat organized “normal” flexible tissue you used to have prior to that old injury, and it’s not that thick inflexible scar. It’s the transition somewhere in-between. And it’s weaker!

So, how do you get rid of it?

In the past, we never realized that scar tissue and adhesions from old injuries were such a problem. The conditions were attributed to “old age” (what I call a cop-out), arthritis or the doctor would say something like “you probably twisted yourself in your sleep” or something the like. The approach was typically physical therapy, ice compresses, or heat compresses or stretching or massage, joint mobilization, adjustments to the joints etc. Which, are all good treatments, but never really addressed the primary problem. Now, through a lot of trial and error and some published research, reducing scar tissue and adhesions from old injuries seems to be solving many of the problems people have been told they simply have to “live with”.

Once scar tissues have formed they are pretty darn durable. Which is usually as good thing. But many scars attach to more than just the injured part and therein lies the problem. Muscles, ligaments, connective tissue, fascia etc are all layered on top of one another and they slide & glide on top of each other. When one tissue gets injured, the “stuff” that becomes a scar to heal the area solidified while attaching to a bunch of different tissues in the area bonding them together. But they weren’t made to work together like that, they should work independently. This causes restriction and pain and sometimes it could take years for it to develop as the scars become more mature as the years pass. (Think about lifting your pants leg up while it sticks to your sock or stocking with static cling; or taking a band-aid off a cut while the little white pad sticks to the scab)

You can’t massage them away, some more aggressive stretching works in some cases but is mostly temporary. Typical therapies just never really did the trick. However, over the past 8-10 years a new technology has emerged that directly addresses scar tissues and adhesions at their source. With high density stainless steel soft tissue mobilization tools, doctors and athletic trainers using Instrument Assisted Soft Tissue Mobilization(IASTM) have been able to detect both superficial and deep scars and adhesions, reduce and remove them and in combination with post IASTM treatment protocols, finally get rid of this nemesis that plagues us as we get older. I have great successes with rotator cuff problems, post surgical knees, chronic hip pain after hip replacement surgery, low back pain, TMJ disorders, neck pain deep contusions, ankle sprains, plantar fascitis just to name a few.

The IASTM technique has been wildly successful to the point where most Athletic Trainers for the NBA, NHL, NFL & MLB have become certified and use the techniques to treat their pro athletes. Sports medicine physicians, therapists and athletic trainers around the world are all learning this stuff now. Back in 2006, I had the privilege to travel to Cartegena Colombia to treat world class athletes along with some of my colleagues at the 2006 Central American & All Caribean Games; and after only a few days, those of us certified in IASTM techniques were getting a huge following amongst the athletes, their team physicians & trainers. Those physicians who weren’t certified, all inquired about signing up for the certification program. That's how powerful this is. Trust me, physicians are a skeptical bunch.

So, if your joints are starting to ache and you feel like you too are suffering from “old age”, maybe try a new approach. If you are an athlete and you feel things aren’t just right, maybe not like they use to be, then seek out a physician, therapist or trainer certified in IASTM and put those childhood bumps, strains and bruises back in the past where they belong.More info on where to get IASTM instruments and education; click here

Healthfully yours

DocT

Dr. Narson is a 2-term past president of the Florida Chiropractic Association’s Council on Sports Injuries, Physical Fitness & Rehabilitation and was honored as the recipient of the coveted Chiropractic Sports Physician of the Year Award in 1999-2000. He practices in Miami Beach, Florida at the Miami Beach Family & Sports Chiropractic Center; A Facility for Natural Sports Medicine.

About Me

Dr. Todd
M. Narson graduated from Logan College of Chiropractic in 1990 and is a Diplomate
of the American Chiropractic Board of Sports Physicians (DACBSP). One
of only 240 DACBSPs in the country; 1 of 10 in Florida and the only one
practicing in Miami-Dade County, FL. . In 2011 Dr Narson was granted
anInternational Chiropractic Sports
Science Diploma (ICSSD)by
the International Federation of Sports Chiropractic (F.I.C.S.) and is the only
chiropractor in South Florida with such international credential.Dr.
Narson was a member of the COPAG international sports medicine team at the XVI
Pan American Games in Guadalajara, Mexico, October 2011.During his tenure at the Pan
American Games, he worked with teams from all over the Western hemisphere
including Chile, Cuba, Ecuador, Colombia, Dominican Republic, Argentina, Peru
& Mexico.

Dr.
Narson has lived in South Florida for over 30 years. He is a 2-term
past president of the Florida Chiropractic Association’s Council on Sports
Injuries, Physical Fitness & Rehabilitation and has been on their governing
board for 8+ years. He was honored as the recipient of the coveted Chiropractic
Sports Physician of the Year award in 1999-2000.

Dr.
Narson was also a credentialed treating physician in the Poly-Clinics at the20th
Central American & All Caribbean Sport Games (XX Juegos Deportivos
CentroAmricanos Y Del Caribe), Cartegena, Colombia.

Dr.
Narson in inventor and developer of the Narson Body Mechanic N6, a soft tissue
"multi-tool" used for Instrument Assisted Soft Tissue Mobilizations
techniques such as FAKTR and others. He has been an M1 & M2 certified
Graston Technique(r) provider for the past 10 years and is trained in FAKTR
advanced soft tissue mobilization & rehabilitation techniques.

Along with Allen Miller, Dr. Narson has co-authored the paper: Protocols
For Proprioceptive Active Re-Training Boards (balance boards).
Published in Chiropractic Sports Medicine Magazine; the Journal of the American
Chiropractic Board of Sports Physicians, Vol 9, No. 2, May 1995 pp 52-55.

Having
chiropractors associated with hospitals was unheard of here in Florida until
1994 when a small group of chiropractors were credentialed here in South
Florida. As some of the first chiropractors in the country to have such
privileges, Dr. Narson was part of the original group accepted into the
Chiropractic Division at Golden Glades Regional Medical Center.

Coining
the term: “Natural Sports Medicine” Dr. Narson has been
educating personal trainers at local gyms and health clubs for several years in
including well known clubs such as Club Body Tech, Crunch & David
Barton’s (Original) Gym in South Beach.

He was medical director
for the 1998 Pan American Race Walk Cup held in Downtown Miami
&

He also served as Medical
team member and treating physician for the 1999 Pan American Tae Kwon Do
Regional qualification Tournament for the Sydney 2000 Olympic Games

Meet Director/treating
physician for the Sydney 2000 Para-Olympic Qualifier/USA Open-Power
lifting held in North Miami.

In
1994 Dr. Narson was asked to join the professional boxing team of Don
King’s light weight contender: Lamar “COSHISE” Murphy and was named
“Team Physician”. Providing the fighter with performance enhancement training
techniques, nutrition and chiropractic care, Dr. Narson worked with the boxing
trainers and traveled with team COCHISE Murphy around the country during his
1995 quest for the WBC lightweight title.

Coors
Lite, Gatorade, Jose’ Cuervo and Jiffy Lube were a few
of the sponsors of large sporting events such as beach volleyball, triathlons
and professional NASCAR racing that have credentialed Dr.
Narson as an on-site treating physician. Dr. Narson has also been
included on the sports medicine teams at the Miami Grand Prix, the Florida
Sunshine State Games as well as other national and international
sports competitions.

Dr.
Narson has had the privilege of being invited to treat the cast and crews of
the Broadway Shows: Les Miserables, The Rockettes, & Damn Yankees. To
date, Dr. Narson has spent over 1000 hours working “on field” with athletes at
various sporting events from local regional athletes, to world class Olympians
& professionals.

Sports
medicine is on the cutting edge of healthcare, Dr. Narson uses his experience
and education with athletes and sports injuries to treat all patients, not just
athletes. Dr. Narson feels everyone deserves the knowledge of a
sports medicine physician, because everyone, in their own way is an athlete as
some level.

Dr.
Narson practices in Miami Beach with his partner and wife, Dr. Corey
Narson. Drs. Narson has lived in Miami Beach since 1993 where they
also raise their children.

Dr. Narson is an active triathlete and member of the South Florida Triathletes Hammerheads triathlon club. He is holds a 1st dan blackbelt in shotokan karate.